HR 9228
Advanced toward a vote
Requires health plans and their vendors to give plan fiduciaries timely access to claims, pricing, and audit information, and voids contract terms that restrict that access.
Official title: Health DATA Act of 2026
Timeline each lane is a chamber; dates pull from congress.gov actions
House
Introduced
09-JUN-2026
Referred
09-JUN-2026
Approved by committee
25-JUN-2026
Reported
15-SEP-2026
On the calendar
15-SEP-2026
- Requires contracts with plan service providers to give fiduciaries access to claims, encounter, and payment documentation within 15 days or a shorter period set by the Secretary of Labor.
- Bars contract terms that limit access to alternative payment formulas, overpayment information, fee disclosures, or the plan's choice of auditor, and voids conflicting provisions.
- Allows the Secretary of Labor to assess civil penalties of up to $10,000 per day for violations and bars indemnifying service providers against those penalties.
- Sets standard claim and remittance file formats and applies to plan years beginning one year after enactment.
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■ 2 R
2 Republicans